Request edit access
Custom Macro Plan & One Hour Coaching Consult
Thank you so much for visiting! My name is Tay Peters and I'm a certified nutrition coach and personal trainer. I'm passionate about helping you reach your fullest potential and discovering a better and more healthier you.

 This is my application for one on one macronutrient plan and coaching call. This specific plan is a consultation where we will discuss your goals, current fitness and food habits, and customize a macronutrient plan just for you that will help you accomplish your fitness and nutrition goals. 

I will email your customized macro plan to you within 1 - 3 days. Please email me at Gains&GrainsFitness@gmail.com for any additional questions or concerns. 

In this program you will receive:

  •  Custom Macronutrient count (how many calories, carbs, fats, and proteins you need each day to achieve your goals)
  • My healthy grocery guide - all the best healthy snacks and foods for your body
  • A one hour consultation with me via phone or in person
Cost:

$100 sent via Venmo to @GainsnGrainsFitness

Instructions:

Please fill in the form below and be as detailed and as honest as possible as this will help me accurately assess your goals. 
Sign in to Google to save your progress. Learn more
Email *
First & Last Name  *
Age *
Phone # *
Email *
Height *
Current Weight *
Have you tracked your food intake before? And if so, how did you do it? *
What is your current occupation? How many hours do you spend sitting? *
What is your main goal you'd like to achieve? *
Please explain your current workout routine if you have one. (i.e. lifting light weight for 20 mins/ Treadmill for 30mins a day) *
What is your activity level? *
Any health conditions or past injuries I should know about? *
If you have currently been cutting calories, how long have you been cutting those calories? Have you seen results? *
Have you used My Fitness Pal app before? *
Are you willing to take the necessary steps to invest in your health & wellness? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report